Postoperative Analgesia Clinical Trial
Official title:
Ketamine and Postoperative Analgesia in Children
The benefit of small doses of ketamine has been demonstrated for postoperative analgesia in adults but remains unproved in children. The investigators' purpose is to evaluate the effects of continuous intravenous small doses of ketamine versus placebo to improve the quality of postoperative analgesia in children (6 months to 6 years of age). Caudal anesthesia is performed for intraoperative analgesia and all children receive paracetamol, a non-steroidal anti-inflammatory and continuous intravenous nalbuphine.
| Status | Recruiting |
| Enrollment | 74 |
| Est. completion date | |
| Est. primary completion date | |
| Accepts healthy volunteers | No |
| Gender | Both |
| Age group | 6 Months to 6 Years |
| Eligibility |
Inclusion Criteria: - Children between 6 months to 6 years of age - American Society of Anesthesiologists (ASA) I or II - Undergoing elective surgery with intraoperative caudal analgesia Exclusion Criteria: - ASA III or IV - Contraindication to caudal anesthesia - Allergy to drugs used in the study - Failure in caudal puncture - Administration of morphine derivative |
Allocation: Randomized, Intervention Model: Parallel Assignment, Masking: Single Blind
| Country | Name | City | State |
|---|---|---|---|
| France | Nantes University Hospital | Nantes |
| Lead Sponsor | Collaborator |
|---|---|
| Nantes University Hospital |
France,
| Type | Measure | Description | Time frame | Safety issue |
|---|---|---|---|---|
| Primary | Area under the curve of pain scores (CHEOPS) measured | every 2 hours during the first 24 hours after eyes open | ||
| Secondary | Evaluation by the parents and nurses of the quality of analgesia with a visual analogue scale graded from 0 to 10 | at the 24th hour | ||
| Secondary | Number of painful episodes requiring additional boluses of nalbuphine | |||
| Secondary | Number of children requiring morphine after inefficiency of additional boluses of nalbuphine | |||
| Secondary | Percentage of children with side effects related to injection of ketamine | |||
| Secondary | Time to complete feeding | |||
| Secondary | Percentage of children with nausea or vomiting |
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